Ultra EMRStick - USA
Emergency Medical Data
If found, please return to: MedStick Corp.,
3619 E. Verdin Rd. Phoenix, AZ 85044 USA
EMRStick Power Point Presentation (English)

IMPORTANT: The Demo you are viewing is only a DEMO - Your personal EMRStick is NOT available through the website! It is only available from your personal EMRStick which you carry with you and to get into details one has to have your ID and password which only you have!

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Personal Information   Latest Update: (July 4, 2014)
(Detailed data is contained in the Ultra Section)

Arthur Laurence (Larry) Smith, Jr.
Address: 3619 E Verdin Rd., Phoenix, Arizona, 85044 USA
Home Phone: 480 789-0546 USA
Cell Phone: 480 789-0546 USA
Fax: (None)
Email address: larry@larrysmithconsulting.com and larry@emrstick.com
Armed Services Veteran: Yes 1954-1956 (US Navy - Korean War - Guam, MI - Offical Base Photographer/Exec. Off. Admin -)
Gender: Male, Human, Caucasian, Planet Earth
Birth Date: August 6, 1931 7AM, Pasadena, California USA
Current Age: 82
Weight: - 158 lbs (7-30-2014)
Current Marital Status: Married (Second marriage), Children: Three (3) (On their own)
Occupation: Founder/CEO/President Medstick Corporation USA - Designer/Developer of EMRStick Systems
and LSA International Consulting, Marketing, Sales of advanced HIS Systems Internationally, Lecturer, Book Author
(HIS books) Titles: Integrated HIS 1) Hospital Based Systems, 2) How To Re-Engineer Installed Systems, 3) Vendor Evaluation & Selection Guide, 4) Clinic & Group Based Practices, 5) Physician Based Information Systems, 6) Healthcare Information Systems
Organ Donor: No
Blood Type: A+

Blood Pressure (See chart included in Ultra section)
Smoker or tobacco user: No
Diabetes: No
Am I taking medications that supress my immune system: No
Native Language: English, Country of Birth: USA
Other Languages spoken: Some French
Insurance coverage: VA (Veterans Administration), Medicare - Part A
Preferred Hospital: VA - (Or close to wherever I am at the time of need)
Preferred Pharmacy: VA (Alternate Pharmacy: Closest to wherever I am at the time of need)
Medicare Plan: Hospital (Part A) Benefits only - Medicare Claim Number: 571-34-3345-A
Legal Documents: Revocable Living Trust, Durable Power of Attornry for Healthcare, Last Will & Testament, Durable Power of Attorney - Management
MRI < Insurance coverage: Humana, Medicare and VA



A. Laurence
(Larry) Smith, Jr.
EMRStick Holder
MILITARY RECORD - USA

Mother’s Maiden Name: Anne Thompson, Are you Spanish, Hispanic or Latino? ( ) Yes (X) No
What is your race? ( ) American Indian or Alaska Native ( ) Black or African American ( ) Asian (X) White ( ) Native American or other Pacific Islander
Current Marital Status: (X) Married ( ) Never Married ( ) Separated ( ) Widowed ( ) Divorced
I am enrolling to obtain Minimum Essential Coverage under the Affordable Care Act ( ) Yes (X) No
Which VA Medical Center or Outpatient Clinic do you prefer? Carl T. Hayden VA Medical Center (644)
Currently Retired: (X) No, ( ) Yes Date of Retirement: _________________
Most Significant Duty Assignment: Guam MI - Admin to Naval Base Executive Officer and Official Naval Photographer
Department: -- (X ) U.S. Navy ( ) Marines ( ) Army ( ) Air Force Other: NA
Grade, Rate, Rank: SN 1St -- Date of Entry into Active Service: Dec 10, 1952
Service Number: -- 383 90 17 -- Specialty Number or Symbol: 0015
Component and Branch or Class: -- ( ) USN (X) USNR ( ) Army ( ) Air Force ( ) Marines ( ) Other NA
Area Command: -- COM 11 San Diego, CA -- Selective Service No.: NA
Enlisted or Transferred to a Reserve Component (Date): -- Yes - USNR Dec. 1952 San Diego, CA
Local Selective Service Board No.: -- NA
Entry Other Than By Induction: -- ( ) Enlisted ( ) Reenlisted ( ) Commissioned (X ) Called from Inactive Duty
Rate of Rank at Time of Entry: Seaman 1St
Most Significant Duty Assignment: National Defense, Exec Officer Admin and Base Photographer
Wounds Received re Action with Enemy Forces: (Place and Date): None
Are you a purple heart Award Recipient? ( ) Yes (X) No Are you a former prisoner of war? ( ) Yes (X) No
Did you serve in a combat theater of war after 1998? ( ) Yes (X) No
Were you discharged or retired from military for a disability incurred in the line of duty? ( ) Yes (X) No
Did you serve in SW Asia during the Gulf War August 2, 1990 and November 11, 1998? ( ) Yes (X) No
Did you serve in Vietnam between Jan. 9, 1962 and May 7, 1975? ( ) Yes (X) No
Were you exposed to radiation while in the military? ( ) Yes (X) No
Did you receive nose and throat radium treatments while in the military? ( ) Yes (X) No
Eligible for Medicade? ( ) Yes (X) No
Spouse’s Name: Elvire H. Smith
Spouse’s SSA#: 610-78-7016, Spouse’s birth date: Nov. 11, 1949
If spouse/children did not live with you last year did you provide support? ( No - Children are on their own)
Other Medical Concerns: None
Service Schools/Colleges/Training Courses Completed (Include dates and Major Courses): (See CV)
Courses Successfully Completed: BS, MS (University of Southern California)
Home Address at time of activation to active duty: -- 1467 Roscomare Rd., Los Angeles, CA USA
Senior Officer Reporting To: -- Executive Officer - Guam MI (Naval Base on Southern section of the island
Reason and Authority for Separation: -- BPM H1704 & BUPES INST 1910.58 (End of duty - war over)
Place of Separation: -- San Francisco, CA USA
Effective Date of Separation: -- Day: 23 Month: Sept Year: 1954
Type of Separation: Honorable RAD - (Recommended for reenlistment)
Foreign and/or Sea/Air Service: -- 6 Years 1 Month 7 Days
Other Medical Concerns: -- None
Service Schools/Colleges/Training Courses Completed (Include dates and Major Courses): -- NA
Reserve training in USN San Diego CA before assignment to US NAVSTA Guam MI
Other Courses Successfully Completed: -- College Graduate (University of So. California BS Business and Masters Study)
Decorations, Medals, Badges, Commendations, Citations, Etc Awarded or Authorized: -- National Defense
Assignments or Duties: -- Admin to Base Executive Officer and Base Photographer -- Guam MI


Publications - Larry Smith
Integrated Healthcare Information Systems
These enable one to easily implement HIS to suit their personal and patient needs.
All books are also available in eBook form - Cost: $15.00 USD each + S&H
To order: larrysphx@gmail.com - specify the books you want to order and in which languages.




Physicians      Clinic Groups    Vendor Guide    Hospital Systems    Re-Engineering Systems   EMRStick


Medical Conditions
Date
Concern
Date
Concern
Since 2011
Slight skin Cancer - Nose and possible internals - draw cells from around nose via one-time minimal surgery - Completed 2011
2011
Draw out possible internal cancer cells (Prostate) via special salve from Dirk McDaniels ND - no surgery required! - Completed 2011

Psychiatric/Behavorial/Depression Concerns
Date
Concern
2012

Bleeding Problems - None, Cardiovascular - Normal, Musculiovascular - Normal, Ear/Nose/Throat/Eyes - Normal (wears glasses partime - not for driving), Gastrotestinal - Normal, Endocrine - Normal, Neurological - Normal, Respiriatory - Normal, Psychiatric/Behavorial/Depression - No concerns, Infections - None


Health History (General)
Date
Concerns
2012

Bleeding Problems - None, Cardiovascular - Normal, Musculiovascular - Normal, Ear/Nose/Throat/Eyes - Normal (wears glasses partime - not for driving), Gastrotestinal - Normal, Endocrine - Normal, Neurological - Normal, Respiriatory - Normal, Psychiatric/Behavorial/Depression - No concerns, Infections - None


Current Health Concerns
(Links show a few of the many capabilities of the EMRStick - No Internet Required - click on links for details)
Date
Concern
Date
Concern
 June 2009
  Audio Test June 2009
 July 2009
 Urology Images 07-08-09
 June 2011
 Dental Charts March 2009
  8-03-2009
 Vision Test 8-03-2009
6-2011
X-Ray Example (Demo)
August 2008
Hemotologist Report
 7-2010
  More X-Ray Examples (Demo)
 8-2009
 Dental Charts
 5-25-2011
  Cell Phone Application (Preview)
 3-30-2009
 Foot X-Ray (Demo)
 5-6-2011
  Brain Scan(Demo)
6-18-2010
UltraSound Image Viewer
Ultra Sound Images
 EKG 2012
 EKG
 1-06-2010
Lab Scan
 12-17/21-2011
5-18-2012
6-7-2012
5-2-2013
7-10-2012
  Veterans Admin Visit Notes 1st visit
VA Consultation and Progress Sheets 2-17-2012
VA Healthe Vet on-line File
VA Eye Clinic 5-18-2012
My HealtheVET Report 5-2-2013
VA - Ear Wax and Big Left Toe 7-10-2012

 2009
2010
2007-2014
 OAE Test - Ears
VA Chemistry Tests 14 Apr 2014 - 22 Nov 1007 ___________________________
PSA 1-6-2010
 4-26-2008
 Vision Test RX
 EKG 2012
 EKG
 9-23-2011
 Lab Report - Nose
 11-18-2009
  Oncologist Report 11-18-2009
 5-2-2013
 Blood Pressure Readings (Latest)
 7-8-2009/2010
 Prostrate Biospy 2009
 2012
  X-Ray Man with Abdominal and Back Pain (Demo)
 2012
Woman with Abdominal and Flank Pain (Demo)
 2012
 Man with Hemoptysis (Demo)
 2012
Man with Abdominal Distension (Demo)
 (Dates)
 Hospital Admissions (None)
 1-29-2013
 MOHS PS Nose Surgery 1-29-2013
Lab Report - Nose
 5-23-2014
 VA Medications Summary (5-23-2014)
 11-18-2009
  Oncologist Report 11-18-2009
 1-29-2013
 IrishItalianSwedishMOHS
chirurgia del naso 1-2013

 11-13-2012
Photos of cancer removal by salve
 07/11/2014
 VA Chemistry/Hematology Summary
 07-26-2014
  Latest VA Medicals
 
 
 
 

Current Medications
(Only Vitamins/Supplements and Prostate Drops are being taken)
 Medication
 Dose, Frequency
Form/Stop Date
 Medication
 Dose, Frequency
Form/Stop Date
 Melaleuca Vitamins
Since 5/2003
Vitality - Oligo, Vitality
Calcium, Vitamin C 1000mg
 Vitamins and Supplements Variety each day AM/PM
 Herbal Prostate Combo
 (Not taking)
 Prostate Drops (Taking)
 3 times Daily AM/Noon/PM
1/3 dropper
 Seleno Excell
 (Not taking)
 Saw Palmento Combo
 (Not taking)
 Zinc (Gluconate)
 (Not taking)
  AgeLOC Vitality Blend
 2 tablets twice per day
(Not taking)
 Simetrhicone 80 mg
 Four times a day for internal gas
 
 
 
 

Preferred Pharmacies
 Pharmacy Name
 Address, City, State, Country
 Telephone Number
 Other Relevant Data
 VA Hospital Phoenix, AZ
 Call Spouse (Elvire) (480) 899-4474 USA
 
 
 
 
 
 

Allergies to Medicine and Other Allergies
(Includes ICD-10 Classification)
NONE
 

Medical History
(Including hospitalizations and frequent procedures)
(Include ICD-10 Classification)

Date
Hospital Facility/Condition/Procedure
Dates
Hospital Facility/Condition/Procedure
 NONE
 
 
 
 
 
   
       

Most Frequent Procedures
 Procedure(s)
 Dates
 Procedure(s)
 Dates
NONE 
 
   
 
 
   

Surgical History
(Includes ICD-10 Classification)
 Date
 Condition
 Date
 Condition
June 2003
Double Inguinal Hernia - Repaired
1935
Tonsils Removed
 2009
 Skin cancer very small spot
Left ear inside - Removed
 2009
 Skin cancer very small spot
Left side of nose - Removed
 (Dates)
 Hospital Admissions (None)
 2012
 Top of nose - small spot removed
 
 
 
 

Neurological Diseases
 Date
 Condition
 Date
 Condition
None
 
 
 
 

Dental History
(Includes ICD-10 Classification)
 Date
 Condition
 Date
 Condition
June 2010
Full Dentures
Previous Charts 2009
Dental Charts
 
 
 
 

Health & Fitness
 Date
 Name of Program
 When
 Location of Program
 2004-Present
 Distance fast Walking and Jogging
 Daily (AM and PM)
 Near home - 1/2-1 mile or more
plus at Arizona Mills (3 miles fast walk)
 2014
 Focus T25 System
 Daily
 At home
 
 
 
 

Personal Physician(s) - and other providers
(*These each have ID/Password for Ultra EMRStick section)

 Name
 Office Telephone (Contact)
 Dr. Walter and Louise Gutowski Chiropractic Physician and Dr. Louise Gutowski - Naturopathic Physician*
Applied Kinesology, Family Practice
480 315 6500
480 205 8020 (Cell Phone) USA
 Veterans Administration - Phoenix VA Health Care System
Suzanne C. Bennick NP, Starla R. Baron RN, BSN, Eva Miller NP  
602 277-5551 X-6508 USA
 Dr. Decker Weiss NMD,   Naturopathic Medicine
480 515-3600 USA
 Paul English MD & Ray Johnson MD Board Certified Dermatologists
 480 706-6580 USA
 LA Fitness - Chandler - (Daily fitness workout)
 480 496-8805 USA
 James R. Siefer, DO PLC Urology
 480 963-2026 USA
 Madhuri Kadiyala, M.D. Hematology/Orcology
 480 857-2510 USA
 David Chiang, DDS & David Fishman, CPD, Mesa Arizona, USA
 480 396-9900 USA
 Dr. James R. Nichols, MD Ahwatukee Family Practice
 480 759 5151 USA
 Joel Dirk McDaniels, ND Specialist
 719 276 1604 USA
 
 

Emergency Contacts
(*These have ID/Password for Ultra EMRStick section)

 Name/Relation
 Phone
 Other Phone/Email
 Elvire Smith - Spouse*   480 899-4474 Arizona USA

 me@elviresmith.com

 Kim Bartz, Daughter  530 887 8012 California USA

 kabartz@gmail.com

 Thompson D. Smith, Son  802 893 3038 Vermont USA

 rallye90@yahoo.com

 Douglas Smith, Son  530 577 4344 California USA

 Dfsmith@waterboards.ca.gov

 Peter Luke, Friend  011 61 7-5545-0147 Australia

 adslweh6@gmail.com

 Trip McKinnon, Friend, Paramedic, Fireman   602 451-9516 Arizona USA

 tripmc@juno.com

 Dr. Gutowski - Chiropractic Physician, COO Medstick Corp*  480 205 8020 Arizona USA

 drwalter@4myhealth.net

   

 


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For more information CALL: 480 789-0546 or
email us at larrysphx@gmail.com or elvirephx@gmail.com
Sponsored By: Medstick Corporation EIN#: 26-1513965
3619 E Verdin Rd., Phoenix, AZ 85044 USA
International Copyright 2007, Patent Pending - Medstick Corporation
Disclaimer - PetMedstick or Petmedstick Demo

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